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The respiratory therapist inserted a continuous capnography sensor between the endotracheal tube and ventilator tubing.
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End-tidal CO2 was measured using the mainstream capnography sensor and cuvette according to the manufacturer's manual.
Real-time airway sonographic approaches could enhance physician confidence and decision-making in relation to tracheal tube placement, and may have a role in combination with continuous capnography in emergency patients [8-10].
Twenty-eight (90.3%) units used continuous capnography.
Only 27% of all intubated patients received continuous capnography.
Of the units not using continuous capnography routinely, two (18%) had no equipment for continuous monitoring.
Moreover, pulse-oximetry does not measure oxygen tension, and major drawbacks also exist for continuous capnography.
Continuous capnography monitoring was in use on 54% of the intubated patients and 63% of the ventilator-dependent patients.
An AAGBI safety statement recommended that continuous capnography should be used in all patients with intubated tracheas, regardless of location [ 3].
A continuous capnography waveform with appropriate inspired and end-tidal values of CO2 is the gold standard for confirming ventilation of the lungs.
The aim of this audit was to establish our local ICU airway intubation complication rate as well as our compliance with the NAP4 recommendation that continuous capnography should be used on all intubated patients.
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